Introduction: Blunt intestinal injuries may be difficult to diagnose accurately. However, diagnostic delays are almost always associated with increased morbidity and mortality. The purpose of this study is that of evaluating the efficiency of various diagnostic methods in identifying intestinal injuries in patients with blunt abdominal trauma. Materials and method: Between 2004-2010 the Clinical Emergency Hospital in Bucharest admitted 81 patients with hollow viscous injuries following blunt abdominal trauma, out of which 70 having sustained intestinal lesions of various degrees. Results: 80% of the patients included in the study were involved in motor-vehicle accidents, with nearly all of them wearing seat-belts, remaining 20% of patients having been victims of falls from heights, assaults and animal assaults. 37 patients had equivocal clinical signs and 33 cases (47%) had obvious signs of peritoneal irritation upon admission. 7% of patients displayed the “seat belt” sign. Abdominal ultrasound was positive in 77% of cases. Diagnostic peritoneal lavage was performed in 3 cases and turned up positive for one patient. CT was performed in 65 patients with positive results for intestinal injuries in 97% of cases. The overall mortality rate was 30% in our study, 12.5% of the deaths having sustained isolated intestinal injuries and 87.5% of cases having had at least one other associated injury.